Stephen Bird

Hi Nabeel,

A few things to consider,

Firstly you need to exclude a defect in the line alba which would represent a ventral hernia

Then use the panoramic mode with the patient relaxed and measure the width of the linea alba between the rectus abdomens muscles

Then ask the patient to do a small sit up and repeat the process measuring the width.

The length of the linea alba is not important here.

Then I would look at the rectus abdominus muscle bellies and comment on any atrophy or fibro-fatty replacement features.

I would have a look up and down the spigelian line and check out the lateral abdominal wall muscles ( TA, EO, IO ) again looking for hernia and muscle atrophy change.

that should about do it,



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